Psychological Therapy for Schizophrenia

• What is the primary use of Cognitive Behaviour Therapy (CBT)?

  To treat people with schizophrenia (SZ)
• What is the main aim of CBT for clients with SZ?

  To help identify and change irrational thoughts
• How many sessions does CBT typically involve?

  5-20 sessions
• In what formats can CBT be delivered?

  In groups or on an individual basis
• How does CBT help clients understand their symptoms?

  By linking delusions and hallucinations to feelings
• What might a client believe if they hear voices?

  They may believe the voices are demons
• What does normalisation in CBT involve?

  Explaining that hearing voices is ordinary
• Who conducted a case study on a paranoid client in 2004?

  Turkington et al
• What was the paranoid client's belief in Turkington et al's case study?

  That the Mafia were plotting to kill him
• How did the therapist respond to the client's anxiety in the case study?

  By acknowledging it and offering alternatives
• What is the aim of family therapy for patients with SZ?

  To improve communication and interaction
• What did Pharoah et al (2010) identify as a strategy in family therapy?

  Reducing negative emotions like anger and guilt
• What is expressed emotion (EE) in the context of family therapy?

  Negative emotions creating stress for families
• What is one goal of family therapy regarding family members' beliefs?

  To improve beliefs about and behavior towards SZ
• What is the balance family therapy aims to achieve?


  Between caring for the individual and their own lives
• What are the phases of Burbach's model for family therapy?

  1. Sharing information and support
  2. Identifying family resources
  3. Encouraging mutual understanding
  4. Identifying unhelpful interaction patterns
  5. Skills training for stress management
  6. Relapse prevention planning
  7. Future maintenance
• What did Jauhar et al (2014) conclude about CBT for SZ?

  There are significant effects on symptoms
• What did McFarlane (2016) conclude about family therapy?

  It reduces relapse rates by 50-60%
• When is family therapy particularly promising?

  When mental health initially starts to decline
• What is a benefit of family therapy beyond the identified patient?

  It strengthens family support capabilities
• What did Lobban and Barrowclough (2016) state about family therapy?

  It benefits the whole family, not just the patient
• What are the strengths and weaknesses of CBT and family therapy?

  Strengths of CBT:

  • Effective for positive and negative symptoms
  • Supported by multiple studies

  
  

  Weaknesses of CBT:

  • Quality of evidence varies

  
  

  Strengths of Family Therapy:

  • Reduces relapse rates significantly
  • Benefits entire family system

  
  

  Weaknesses of Family Therapy:

  • May not address all individual needs